heart attack

coronary artery bypass grafting is the term used by medical fraternity. heart attack is a condition where in the blood supply to heart muscle gets diminished due to any reason ,then the muscle experiences dificiency in form of chest pain.when the heart muscle cannot get adequate blood supply it tends to wrench also called as massive heart attack or myocardial infarction.some patients do overcome that deficiency of blood and carry on their routine life within limit .they will learn to stop where the chest pain starts,thereby maintaining the deficient blood supply . if the exertion is beyond a certain stage where in heart muscle cannot meet deficincient supply then heart attack ensues . patient who has learnt to overcome his limited heart muscle develops collateral blood ,if he carries on and if the blood supply is still met,though inadequately. few patients are not so lucky enough to develop the collaterals and they need to be taken for a procedure either stenting or bypass grafting.if the blockages are too much to be handled in single setting of stenting then it is advisable to under go surgeons knife.if there are one or two blockages which can be easily over come by a stent then it can wait for a future operation and undergo stenting instead.the choice to decide whether to under go stenting or bypass surgery rests with the patient ,and he can consider the option of taking opinion of at least two cardiologists or one cardiologist and a cardiac surgeon. this is not the situation always and if it is acute emergency then cardiologist can take decision to subject the patient for emergency stenting or also called as angioplasty.such episodes are few .